Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 03550 | Date 02/01/2023 |
| Token No | SM/22-23/17065 30/12/2023 | Serial | 017 |
| Patient Name | Mrs. KANCHAN TIWARI | Contact No | 9830048788 |
| Address | 97/U/2 GURU GARDEN ROAD PRABASHNAGAR SERAMPORE 712249 | Age | 43 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||